Written by Leya Bedar
Depression (lethargy, weight loss, episodes of self-harm and thoughts of suicide, triggers, early-morning wakening, isolation)
Other differentials:
Hypothyroidism (lethargy, however less likely as no weight gain or systemic features)
Anxiety (due to stress but very unlikely as patient does not feel anxious)
Mark scheme for history taking can be found below
Information giving lifestyle 2 Written by Leya Bedar Student brief Ms Sharma is a 58-year-old woman who has been diagnosed with COPD and her condition has worsened. Please discuss how you can improve her condition by managing lifestyle factors. Patient brief Name: Milaya Sharma DOB: 10/05/1963 = 59 years old BACKGROUND You were diagnosed with…
Information giving lifestyle 1 Written by Leya Bedar Student brief You have been asked to see Parth, who has a BMI of 38. He has been identified as pre-diabetic. Please discuss how you can manage this through lifestyle changes. Patient brief Name: Parth Marmana DOB: 05/05/1990 = 32 years old BACKGROUND You went to see…
Acute Kidney Injury We have two kidneys in our body. The kidney is like a filter, removing waste and toxins from the blood. This waste and toxins come out in your pee. Acute kidney injury, or AKI, is when your kidneys are damaged, and the kidneys suddenly stops working properly. If the kidneys don’t do…
Information giving lifestyle 4 Written by Leya Bedar Student brief Manjot is a 54 year old male who has been identified as high risk of cardiovascular disease. Please discuss his lifestyle factors with him. Patient brief Name: Manjot Kapoor DOB: 12/03/1968 = 54 years old BACKGROUND You recently attended for a health check up. You…
Gastrointestinal history 5 Written by Leya Bedar Diagnosis: Peptic ulcer disease (nature of pain, epigastric, worse after eating but delayed onset, exacerbated by spicy food, NSAID use, smoking history) Other differentials: Gastric cancer (weight loss, abdominal pain, haematemesis) Pancreatitis (abdominal pain, delayed onset after eating, weight loss) Mark scheme for history taking can be found…
Gastrointestinal history 1 Written by Leya Bedar Diagnosis: Appendicitis (due to generalised pain to right iliac fossa and progression from dull to sharp suggesting peritonitis, along with exacerbating and relieving factors, anorexia, fever, and nausea) Other differentials: Ruptured ectopic pregnancy (possible cause of peritonitis but very unlikely as patient has never had sex) Ovarian torsion…
